Individual
MR. SANDRA K MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LLP
Contact information
Practice address
348 S WAVERLY RD, HOLLAND, MI 49423-3799
(616) 229-4749
Mailing address
348 S WAVERLY RD, HOLLAND, MI 49423-3799
(616) 834-5648
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6361001135
MI
103TC1900X
Counseling Psychologist
6301014526
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6361001135
STATE OF MICHIGAN
MI
Enumeration date
10/05/2010
Last updated
10/14/2022
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